# LURAY DENTAL HEALTH CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417431503
- **Authorized official:** MAGGI EVANS (SR CREDENTIALING SPECIALIST)
- **Authorized official phone:** (720) 603-4763

## Contact information

- **Practice address:** 33 N BANK ST, LURAY, VA 22835-1115
- **Practice address phone:** (703) 895-5779
- **Mailing address:** 33 N BANK ST, LURAY, VA 22835-1115
- **Mailing address phone:** (703) 895-5779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 10/17/2024